PDF(Pubmed)
Abstract：
UNASSIGNED: A patient presented for recalcitrant right hip pain secondary to femoroacetabular impingement (FAI) after blunt motor vehicle trauma and following the development of a 12 cm heterotopic ossification (HO). FAI is an increasingly recognized diagnosis where the hip joint is exposed to repeated femoral microtrauma from high-level physical activity or trauma, often causing labral ossification, and perhaps underlying a similar biological mechanism to HO.
UNASSIGNED: In this case report, we have an otherwise healthy 49-year-old male who was involved in a high-speed motor vehicle collision who was diagnosed with right hip FAI secondary to HO (Brooker\'s Class IV) and indicated for surgical excision of the HO anterior to the right proximal femur. The care team and patient initially trialed non-operative conservative treatment with non-steroidal anti-inflammatories drugs (NSAIDs) and hypothesized therapeutic success using a non-surgical approach. Surgical resection was pursued with the patient after a failure of conservative measures. The patient reported a zero out of ten on a ten-point numerical rating scale for pain, he also stated improved quality of life, satisfaction with the procedure, and subsequent rehabilitation at 1-month post-operative follow-up.
UNASSIGNED: HO with near complete ankylosis of the hip joint may be causative of FAI when untreated. Although this case demonstrates a rarely studied traumatic etiology of impingement secondary to HO, initial standard conservative anti-inflammatory treatment can still be pursued. By analyzing the periarticular impact of HO secondary to non-surgical trauma, we can utilize and make inferential correlations from the literature, studying HO and impingement in the setting of prior hip surgery to guide treatment and prognosis in those presenting with FAI symptoms secondary to blunt force trauma.
UNASSIGNED: In this case report, we have an otherwise healthy 49-year-old male who was involved in a high-speed motor vehicle collision who was diagnosed with right hip FAI secondary to HO (Brooker\'s Class IV) and indicated for surgical excision of the HO anterior to the right proximal femur. The care team and patient initially trialed non-operative conservative treatment with non-steroidal anti-inflammatories drugs (NSAIDs) and hypothesized therapeutic success using a non-surgical approach. Surgical resection was pursued with the patient after a failure of conservative measures. The patient reported a zero out of ten on a ten-point numerical rating scale for pain, he also stated improved quality of life, satisfaction with the procedure, and subsequent rehabilitation at 1-month post-operative follow-up.
UNASSIGNED: HO with near complete ankylosis of the hip joint may be causative of FAI when untreated. Although this case demonstrates a rarely studied traumatic etiology of impingement secondary to HO, initial standard conservative anti-inflammatory treatment can still be pursued. By analyzing the periarticular impact of HO secondary to non-surgical trauma, we can utilize and make inferential correlations from the literature, studying HO and impingement in the setting of prior hip surgery to guide treatment and prognosis in those presenting with FAI symptoms secondary to blunt force trauma.
摘要：
■一名患者在钝性机动车创伤和12厘米异位骨化（HO）发展后，因股骨髋臼撞击（FAI）继发的顽固性右髋部疼痛而出现。FAI是一种越来越被认可的诊断，其中髋关节暴露于高水平体力活动或创伤引起的反复股骨微创伤，经常导致唇缘骨化，也许是与HO相似的生物学机制。
■在此案例报告中，我们有一名健康的49岁男性,他曾参与高速机动车碰撞,他被诊断为HO继发的右髋关节FAI(Brooker'sIV级),并需要手术切除HO前的右股骨近端.护理团队和患者最初使用非甾体类抗炎药（NSAIDs）进行非手术保守治疗，并使用非手术方法假设治疗成功。保守措施失败后，对患者进行了手术切除。患者在疼痛的十点数字评定量表上报告了十分之零，他还说生活质量有所提高，对程序满意,以及术后1个月随访后的康复。
■伴有髋关节几乎完全强直的HO在未经治疗时可能是FAI的病因。尽管此病例显示了很少研究的继发于HO的撞击的创伤性病因，仍可进行初始标准的保守抗炎治疗.通过分析非手术创伤继发HO对关节周围的影响，我们可以利用文献中的推理相关性，研究既往髋关节手术中的HO和撞击，以指导伴有钝器创伤继发FAI症状的患者的治疗和预后。
■在此案例报告中，我们有一名健康的49岁男性,他曾参与高速机动车碰撞,他被诊断为HO继发的右髋关节FAI(Brooker'sIV级),并需要手术切除HO前的右股骨近端.护理团队和患者最初使用非甾体类抗炎药（NSAIDs）进行非手术保守治疗，并使用非手术方法假设治疗成功。保守措施失败后，对患者进行了手术切除。患者在疼痛的十点数字评定量表上报告了十分之零，他还说生活质量有所提高，对程序满意,以及术后1个月随访后的康复。
■伴有髋关节几乎完全强直的HO在未经治疗时可能是FAI的病因。尽管此病例显示了很少研究的继发于HO的撞击的创伤性病因，仍可进行初始标准的保守抗炎治疗.通过分析非手术创伤继发HO对关节周围的影响，我们可以利用文献中的推理相关性，研究既往髋关节手术中的HO和撞击，以指导伴有钝器创伤继发FAI症状的患者的治疗和预后。
